title: Perforation of continent urinary reservoirs. Scandinavian experience.
abstract: In a questionnaire survey of urological departments in Sweden, Denmark, Finland and Norway, 20 episodes of perforation of continent urinary pouches were found to have occurred in 18 patients, representing an incidence of 1.5%. This complication occurred with ileal as well as colonic segments, without predilection. In one case there was perforation of an appendiceal outlet. Noticeable findings were (a) a long delay (median 10h) to treatment and (b) that investigational procedures such as enterocystography and enterocystoscopy were not commonly employed. Treatment of this potentially lethal complication was by oversewing the perforation, and there were no subsequent major complications. This complication should be strongly suspected if a patient with continent urinary reconstruction presents with acute abdominal pain.
authors.affiliation: Department of Urology, University Hospital, Lund Sweden.
authors.forename: W
authors.initials: W
authors.lastname: Månsson
authors.forename: A
authors.initials: A
authors.lastname: Bakke
authors.forename: B
authors.initials: B
authors.lastname: Bergman
authors.forename: E
authors.initials: E
authors.lastname: Brekkan
authors.forename: O
authors.initials: O
authors.lastname: Jonsson
authors.forename: B
authors.initials: B
authors.lastname: Kihl
authors.forename: M
authors.initials: M
authors.lastname: Nurmi
authors.forename: J
authors.initials: J
authors.lastname: Pedersen
authors.forename: A
authors.initials: A
authors.lastname: Schultz
authors.forename: B
authors.initials: B
authors.lastname: Sørensen
authors.forename: T
authors.initials: T
authors.lastname: Urnes
authors.forename: H
authors.initials: H
authors.lastname: Wolf
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative / Q000009:adverse effects; D012422:Rupture, Spontaneous; D001743:Urinary Bladder / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects*